| Paul Riddle Dds Llc | |
|
1334 S Main St Ottawa KS 66067-3527 | |
| (785) 242-5753 | |
| Not Available |
| Full Name | Paul Riddle Dds Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1334 S Main St, Ottawa, Kansas |
| Authorized Official Name and Position | Rufus Paul Riddle (OWNER) |
| Authorized Official Contact | 4796518298 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Riddle Dds Llc 1334 S Main St Ottawa KS 66067-3527 Ph: (785) 242-5753 | Paul Riddle Dds Llc 1334 S Main St Ottawa KS 66067-3527 Ph: (785) 242-5753 |
| NPI Number | 1750101705 |
|---|---|
| Provider Enumeration Date | 10/15/2024 |
| Last Update Date | 10/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750101705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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